Noise pareidolia test for predicting delirium in hospitalized older patients with cognitive decline
Noise pareidolia test for predicting delirium in hospitalized older patients with cognitive decline
复制标题
噪声空想性幻想测试可预测认知能力下降的住院老年患者的谵妄
DOI：
10.1111/ggi.14477
复制
发表时间：
2022
影响因子：
3.3
通讯作者：
橋本 裕
中科院分区：
文献类型：
--
作者：
鈴木茜;嶋津多恵子;鳩野洋子;麻原きよみ;吉野純子;遠藤直子;橋本 裕
虽然老年人在住院期间发生谵妄的风险增加，但没有明确的筛查工具来预测病情。本研究的目的是检查的有效性的噪音妄想狂测试（NPT）作为一种工具，用于预测发病的住院后谵妄在老年adults.MethodsHospitalized患者谁是由一个多学科的老年护理团队照顾，由于行为症状，沟通困难，痴呆或谵妄的历史进行了分析。NPT适用于能够在入院后3天内完成简易精神状态检查的患者。在NPT当天或入院后3天内记录人口统计学和临床数据。使用基于观察的谵妄筛查工具（DST）评估谵妄。结果96例患者中，59例为DST阴性组，37例为DST阳性组。苯二氮卓激动剂的使用、血清钾水平和注意到幻觉的图像数量（即，NPT评分）在组间显著不同。Logistic回归分析发现，苯二氮卓类激动剂的使用（比值比，2.897;P= 0.032），血清钾水平（比值比，0.427;P= 0.041）和NPT评分（比值比，1.253;P= 0.017）是DST结果的重要预测因素。受试者工作特征曲线分析显示NPT评分为1作为适当的cutoff value.ConclusionsA阳性NPT评分被确定为一个独立的预测谵妄的老年患者入院急性护理医院与认知功能障碍。
AimAlthough older people are at an increased risk of developing delirium during hospitalization, no definitive screening tools exist to predict the condition. This study aimed to examine the effectiveness of the noise pareidolia test (NPT) as a tool for predicting the onset of post‐hospitalization delirium in older adults.MethodsHospitalized patients who were cared for by a multidisciplinary geriatric care team owing to behavioral symptoms, difficulties in communication, and a history of dementia or delirium were analyzed. The NPT was performed on patients who could complete a Mini‐Mental State Examination within 3 days of admission. Demographic and clinical data were recorded on the same day as the NPT or within 3 days of admission. Delirium was assessed using the observation‐based Delirium Screening Tool (DST).ResultsOf 96 patients, 59 were in the DST‐negative group and 37 in the DST‐positive group. Benzodiazepine agonist use, serum potassium levels, and the number of images in which pareidolia was noted (i.e., the NPT score) significantly differed between groups. Logistic regression analysis identified benzodiazepine agonist use (odds ratio, 2.897;P= 0.032), serum potassium levels (odds ratio, 0.427;P= 0.041) and NPT scores (odds ratio, 1.253;P= 0.017) as significant predictors of DST results. The receiver operating characteristic curve analysis showed an NPT score of 1 as the appropriate cutoff value.ConclusionsA positive NPT score was identified as an independent predictor of delirium in older patients admitted to an acute care hospital with cognitive dysfunction.Geriatr Gerontol Int 2022; 22: 883–888.